| NPI | 1376865733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI R ESTEP CEO 765-747-2971 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2012-01-31 |